Front Desk Representative

Responsible for providing excellent customer service and acting as the first point of contact for patients/guests. Handle a range of administrative and customer service tasks to ensure smooth front office operations. Responsible for responding to inquiries, directing calls, and maintaining a tidy and organized workspace.

Essential Functions

Perform check in and check out tasks, as well as insurance verification in one or more of the following areas:

Check-In

• Greet and check in patients and other visitors arriving for appointments
• Verify medical insurance benefits online or call insurance companies or primary care physicians (PCP) offices to obtain benefit information
• Coordinate with patients regarding their insurance benefits and medical provider program
• Collect co-payments/balances upfront
• Confirm and obtain referrals and/or authorizations if required by insurance, prior to visit
• Obtain, verify, and enter patient and their provider's information into EMR ensuring the accuracy of all entries
• Scan paperwork to EMR
• Complete end-of-day closing duties
• Answer phones promptly and courteously, handle requests and inquiries, or route as appropriate

Check-Out

• Complete check out procedures at end of patient visit
• Make follow-up appointments using scheduling protocol and forcing power protocol
• Post charges and keep the posting of capitations up to date
• Fax visit notes to the PCP or referral physician
• Collect Co-payments for Self-Pay Patients or any pending co-payments to be collected
• Scan all supporting documentation into the patient's chart

Insurance Verification

• Verify insurance coverage(s) at least one day in advance
• Request and obtain authorizations and referrals
• Scan to PDF and upload verified documents to each assigned location
• Assist with overflow of incoming calls
• Communicate with patients regarding copays, deductibles, and other fees
• Cancel and/or reschedule appointments for terminated insurances
• Verify and correct if needed PCP and Marketing Plan fields
• Cross train to cover other Front Desk positions as needed

Job Specifications

Typically has the following skills or abilities:

One to two years of Customer Service experience

Ability to handle multiple tasks simultaneously in a fast-paced environment

Ability to handle and diffuse patient complaints and disagreements

Exceptional communication and interpersonal skills

Experience navigating Electronic Medical Records and Outlook

Preferred Skills

Bilingual (English / Spanish)

Working Conditions

The working environment is generally favorable, lighting and temperature are adequate and there are no hazardous or unpleasant conditions caused by noise, dust, etc.

The above information on this description had been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.